inforMED
MalfunctionGAS

COR-KNOT

Received Feb 23, 2018 · Event occurred Feb 13, 2018

Report 7291636 · MDR key 7291636

Device

Generic name

Suture, Nonabsorbable, Synthetic, Polyester

Manufacturer

Lsi Solutions Inc.

Model number

031350

Lot number

692165

Product problems

  • Positioning Failure
  • Misfire

Patient

72 YR

  • No Information
  • No Information

Narrative

Description of Event or Problem

DURING AORTIC VALVE REPLACEMENT, THE COR-KNOT MISFIRED AND THE METAL DIVET SECURING THE VALVE IN PLACE DID NOT DEPLOY. THE SURGEON HAD TO PLACE ANOTHER VALVE SUTURE IN AND MANUALLY TIE IT IN. THIS EXTENDED THE SURGICAL CASE TIME.